Evidence-based guidelines in labor management.
Obstet Gynecol Surv
; 69(4): 209-17, 2014 Apr.
Article
em En
| MEDLINE
| ID: mdl-25101596
ABSTRACT
Evidence-based care of women in labor requires a thorough understanding of both "normal" and abnormal labor progress. In response to the growing cesarean delivery rate for dystocia at our institution, a multidisciplinary team of attending physicians, nurse-midwives, resident physicians, and nurses was established to review the literature and create evidence-based guidelines. This article describes the background literature and consensus guidelines reached for the diagnosis of active phase labor, active phase arrest, second-stage arrest, protraction of the active phase, and failed induction of labor. Our review illustrates that slower labor patterns than traditionally described often result in a vaginal delivery without unacceptable increases in maternal or neonatal morbidity.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Trabalho de Parto
/
Guias de Prática Clínica como Assunto
/
Medicina Baseada em Evidências
/
Parto Obstétrico
/
Manejo da Dor
/
Trabalho de Parto Induzido
Tipo de estudo:
Guideline
Limite:
Adult
/
Female
/
Humans
/
Pregnancy
Idioma:
En
Ano de publicação:
2014
Tipo de documento:
Article